9 Questions
What is the primary purpose of RhoGAM injection during pregnancy?
To prevent RH incompatibility issues
When is the RhoGAM injection typically given if the mother and baby may be RH incompatible?
Between 26-28 weeks AOG
What can happen if there is RH incompatibility during pregnancy or delivery?
Heart failure or breathing problems in the baby
Why might a doctor administer another RhoGAM injection during pregnancy?
In case of exposure to fetal blood
What complication is associated with fetal edema and liver swelling due to insufficient albumin?
$HYDROPS FETALIS$
What is the purpose of Rh (D) antibodies (RhIG) in managing anemia?
To prevent hemolysis of red blood cells
When should a client receive a RhoGAM injection after birth?
$20-72$ hours after birth
In which scenario during pregnancy might a doctor recommend another RhoGAM injection?
$Bleeding during pregnancy$
What issue could arise from Rh sensitization during pregnancy?
$Fetal jaundice$
Study Notes
Urinary Tract Infection (UTI)
- If urine burns or stings, it may be a sign of UTI
- Contact a healthcare provider right away to treat it
- Advise pregnant women not to reduce fluid intake, as dehydration can lead to UTI
Fatigue During Pregnancy
- Fatigue is a common symptom during pregnancy, especially in the first 12 weeks
- Hormonal changes, growing baby, and anemia (low iron) can contribute to fatigue
- Anemia signs include pale skin, shortness of breath, and fainting spells
- Nursing interventions: focus on nutrient-rich foods, avoid meal-skipping
Vaginal Prolapse
- Weakening of vaginal walls, allowing pelvic organs to protrude into the vagina
- Risk factors: age, parity, vaginal delivery
- Types of prolapse: Cystocele (bladder into anterior vaginal wall), Rectocele (rectum into posterior vaginal wall), Uterine Prolapse (uterus into vagina)
- Clinical manifestations: pelvic pressure, fatigue, urinary incontinence, back and pelvic pain
Rheumatic Disorders and Pregnancy
- Rheumatoid arthritis: joint inflammation, contracture, swelling, erythema, painful motion
- Complications: permanent joint disfigurement, loss of joint motion, increased bleeding at birth
- Treatment: corticosteroids, NSAIDs, oral aspirin therapy
Substance Abuse During Pregnancy
- Opiate abuse: fetal dependence, withdrawal symptoms, small size, fetal distress, meconium aspiration
- Inhalant abuse: respiratory and cardiac irregularities, fetal oxygen supply limitation
- Alcohol abuse: Fetal Alcohol Syndrome (FAS), facial abnormalities, cognitive problems, memory difficulties
Anemia and Rh Incompatibility
- Anemia: destroyed RBCs faster than production
- Jaundice: swelling of the baby's body, heart failure, breathing problems
- Rh incompatibility: RhoGAM injection (arm or backside) to prevent immune system reaction
This quiz covers the signs of urinary tract infections in pregnant women as discussed in Pillitteri's Maternal & Child Health Nursing II textbook. It emphasizes the importance of contacting a healthcare provider promptly and not reducing fluid intake during pregnancy.
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